McKenzie Carle, RPH

Individual provider Active NPI Pharmacist · Covington, KY

NPI 1902635907 · NPPES record last updated Jul 29, 2024

Key facts

NPI
1902635907
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
024481 (KY)
Practice address
1220 Madison Ave
Covington, KY 41011-3118
Phone
(859) 491-9883
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
024481KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Current
since Aug 4, 2024
Accepting new patients
Walgreen Co Past
since Aug 4, 2024
Accepting new patients

Locations

1220 Madison Ave
Covington, KY 41011
Phone (859) 491-9883

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 024481 KY Yes

Addresses

Primary practice location

1220 Madison Ave
Covington, KY 41011-3118

Mailing address

5706 Walkerton Dr
Cincinnati, OH 45238-1843
Phone (513) 446-8188

Other providers in Covington, KY

All providers in Covington, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.